Primary care And Out Patient Clinics

40 Questions | By Rhjvamc | Updated: Mar 20, 2022 | Attempts: 449

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A test on procedures, protocols and policies.

Questions and Answers

1.

Which of the following complaint/symptoms does not require the LPN to notify the RN?
- A.
  
  Dysuria
- B.
  
  Bruising
- C.
  
  Blood sugar of 420
- D.
  
  Hematuria
2.

The purpose of the PACT protocols is so that the RN only can initiate electronic orders based on patient presenting history and/or symptoms.
- A.
  
  True
- B.
  
  False
3.

Nurses who have had documented competency training may initiate laboratory, radiological, and consultation requests based on patient presenting history and /or symptoms.
- A.
  
  True
- B.
  
  False
4.

The LPN should notify the RN or provider of the following complaints/symptoms of their patient (select all that apply).
- A.
  
  SBP > 180
- B.
  
  Sortness of breath with fever > 101.5
- C.
  
  Muscle joint discomfort
- D.
  
  Nausea and vomiting
5.

Which of the following orders can the LPN initiate (select all that apply):
- A.
  
  CBC
- B.
  
  Renal Panel
- C.
  
  Chest x-ray
- D.
  
  UA
6.

Which of the following orders can only be initiated by the RN after consult with the provider (select all that apply) :
- A.
  
  Abdominal x-ray
- B.
  
  C&S
- C.
  
  BMP
- D.
  
  A1C
7.

If a patient presents to the clinic with complaints of having black tarry stools for the past two days, according to the PACT protocol, which orders can be initiated by the RN (select all that apply):
- A.
  
  CBC
- B.
  
  PT/INR/PTT
- C.
  
  Renal panel
- D.
  
  Amylase and Lipase
8.

If a patient present to the clinic with complaints of frequent nosebleeds and is on Coumadin what test would you expect be able to initiate according to the PACT protocol?
- A.
  
  PT, PTT
- B.
  
  PT, PTT INR
- C.
  
  PT, INR, PTT, CBC
- D.
  
  PT, PTT, CBC
9.

RN and LPNs can order consultations and preventative health screening.
- A.
  
  True
- B.
  
  False
10.

Patients requiring home supplies such as diabetic supplies or dressing supplies (abdominal pads, kling, etc.) can only be ordered by the RN.
- A.
  
  True
- B.
  
  False
11.

The clinic has a fan-out/call back system if an emergency occurs.
- A.
  
  True
- B.
  
  False
12.

If you answer a call and the caller tells you there is a bomb in the building, after the call is terminated, who should you notify first?
- A.
  
  Police
- B.
  
  Supervisor
- C.
  
  Director
- D.
  
  Doctor
13.

Upon termination of the call from a bomb threat, while the building (clinic) is being evacuated, who will call 911 and inform the police of the receipt of a bomb threat.
- A.
  
  Charge Nurse
- B.
  
  Nurse Manager
- C.
  
  Leam Team Physician
- D.
  
  LPN
14.

After notifying the police of a bomb threat, who will ensure that your area (building) is vacant.
- A.
  
  Charge nurse
- B.
  
  Nurse manager
- C.
  
  Lead Team Physician
- D.
  
  LPN
15.

Upon learning of the probability of severe weather in the vicinity of the clinic, the _____________ shall direct all clinics staff members to review and follow the Emergency Operations Plan.
- A.
  
  Charge Nurse
- B.
  
  Nurse Manager
- C.
  
  Lead Physician
- D.
  
  LPN
16.

As a supplement to the hospital's Emergency Operations Plan, Primary Care staff are designated as "essential" personnel.
- A.
  
  True
- B.
  
  False
17.

A minimum of three employees will assit with all lifts/transfers of patients with limited mobility.
- A.
  
  True
- B.
  
  False
18.

Which one of the following statements are not true in regards to safe patient handling and movement policy.
- A.
  
  All patients will be assessed prior to being moved
- B.
  
  All patients will be lifted by the safest method for both patient and staff
- C.
  
  Safety Huddle/After Action Review Process are not required for near-miss fall incident.
19.

At the CBOC or primary clinic, once it has been determined that the patient will be committed for psychiatric treatment, he/she will have ________________ to prevent harm to safe and others.
- A.
  
  Every 15 minute checks
- B.
  
  Every 30 minute checks
- C.
  
  Every 1 hour checks
- D.
  
  1:1 observation
20.

Who at the clinic will be responsible for taking the lead role in coordinating the observation of a patient that has been determined to be committed for psychiatric treatment?
- A.
  
  Nurse manager
- B.
  
  Charge Nurse
- C.
  
  Lead Physician
21.

If a patient at the clinic waiting for transfer to an inpatient mental health facility becomes violent or threatening, you should call the lead physician to check the patient.
- A.
  
  True
- B.
  
  False
22.

In the clinic if it is noted that a Veteran has disappeared (wandered) and hif/her absence is unexplained, staff will notify __________whho wil coordinate the search.
- A.
  
  The nurse manager
- B.
  
  The charge nurse
- C.
  
  The police
23.

A preliminary search for at risk missing patients should be initiated immediately and completed with in _________minutes.
- A.
  
  15
- B.
  
  30
- C.
  
  45
- D.
  
  60
24.

The CBOCs preliminary search sheet can be used for all CBOCs and clinics.
- A.
  
  True
- B.
  
  False
25.

What are the steps that should be followed if a patient is missing from your clinic?
- A.
  
  Preliminary search, document in CPRS, notify VA police, Goose Creek (Naval Weapons Station), or Beaufort (Quaterdeck)
- B.
  
  Preliminary search, notify VA police, Goose Creek (Naval Weapons Station), or Beaufort (Quaterdeck), document in CPRS.
- C.
  
  Notify VA police, Goose Creek (Naval Weapons Station), or Beaufort (Quaterdeck), start preliminary search, document in CPRS

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